go back

Pennsylvania rates for HCPCS 25391

Osteoplasty Radius/Ulna Lengthening W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.58 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.87 / $1,009.45 / $1,495.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.78 / $1,077.44 / $1,825.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.83 / $1,130.83 / $1,130.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.55 / $1,260.48 / $2,070.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.78 / $1,604.22 / $2,042.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.34 / $992.34 / $992.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.58 / $4,597.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.47 / $1,085.47 / $4,927.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.40 / $1,390.40 / $2,036.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.83 / $1,130.83 / $1,130.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.55 / $1,284.09 / $2,088.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.09 / $976.09 / $1,211.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.50 / $982.26 / $1,211.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.67 / $1,300.82 / $2,018.29